| NPI | 1861798068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA CAROL PARKER President 502-504-5231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: KY 1618) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KY 1618) |
| Enumeration Date | 2011-02-04 |
| Last Update Date | 2019-03-21 |